UQ GRADUATE SCHOOL USE ONLY Application Approved Application Not Approved Approved Amount: GRADUATE SCHOOL INTERNATIONAL TRAVEL AWARD (GSITA) Application for Research Higher Degree Candidates (PhD & MPhil) 1. Candidate’s Details Title Family Name Given Names UQ Student Number Preferred Name School/Institute Application status Full time Part time Please also consider my application for the Joan Allsop Travel Award (You must be undertaking a project related to an Australian topic, including Australian history, flora and fauna to be eligible http://scholarships.uq.edu.au/scholarship/joan-allsop-travel-scholarship) Thesis title and short project description 2. Research Travel Details Please note: Departure date must be after the outcome of the Graduate School International Travel Award (GSITA) is announced. The departure date must not be more than 9 months in the future. No retrospective funding will be approved. Expected Departure Date: Expected Return Date: What location/s will you go to while undertaking this research travel? Specific location (e.g. University, Institute, conference, archives etc) Purpose Country Duration From To I have checked that I am able to obtain a visa to the countries which I propose to travel to. If any location is in a country listed on www.smartraveller.gov.au as a “do not travel” or “reconsider need for travel” destination or listed at Travel Advisories, have you obtained the written approval of the Deputy Vice-Chancellor (International) to undertake research travel to that country? Yes – please attach a copy of the written approval to this application. No – I understand any offer will be conditional on obtaining this written approval within one month of the offer being made. 3. Justification for Research Travel (to be completed by applicant): How does this travel support one or more of the following? Enhance the quality of your candidature, thesis and/or associated research output Develop additional skills for your career post-candidature Contribute to stronger research linkages between UQ and a key partner. April 2011 Page 1 4. Proposed Budget: Provide details of the following on the GSITA budget spreadsheet. Your application will not be assessed without a complete GSITA budget spreadsheet in the standard format. Per diem (living allowance) Transportation costs (flight/train/bus) to destination Other costs (e.g. entrance fees or search fees) Visa fees & airport taxes Travel insurance Accommodation GSITA funding amount are limited to: $3000 for travels in the region (eg. Indonesia, Papua New Guinea, New Zealand, etc.) $5000 dollars for travels elsewhere in the world GSITA funding requested $ Yes – I have attached a copy of the budget spreadsheet to this application. Candidate Section: I certify that I have completed this form and the GSITA budget truthfully, correctly and completely. I have read the Privacy Statement detailed below. I have checked the conditions of any scholarships I hold and certify that my request is consistent with any applicable conditions. I agree to comply with all GSITA Rules and other University rules and policies, as set out on the Graduate School website and elsewhere on The University’s website, along with any subsequent amendments approved by the Senate or the Academic Board. I agree to provide a Report on Travel within one month of the end of research travel supported by a GSITA. I agree to repay to The University any unused funds and any funds that The University deems were not used for the research travel approved by the UQ Graduate School. I understand the decision of the selection committee is final and no further correspondence will be entered into. Candidate Name and Title Signature Date Principal Advisor Section: I endorse the candidate’s application. I agree to provide all advisory team funding specified in the GSITA budget if the candidate receives a GSITA. Principal Advisor Name and Title Signature Postgraduate Coordinator Section: I endorse the candidate’s application. I agree to provide all school/institute funding specified in the GSITA budget if the candidate receives a GSITA. Date Postgraduate Coordinator Name and Title Signature Date Please complete and send fully endorsed form to uqadvantage@gradschool.uq.edu.au Privacy Statement The information on this form is collected for the purpose of assessing your application for a Graduate School International Travel Award. Information on this form may be disclosed to relevant bodies for the assessment or verification of the claims made in this application. Otherwise the information you provide will not be disclosed to a third party without your consent, unless disclosure is authorised or required by law. For further information please consult the UQ Privacy Management Policy. August 2014 Page 2 GRADUATE SCHOOL USE ONLY Next Milestone: Mid-Candidature Review Thesis Review Date:___________ Date:___________ Graduate School decision on Graduate School International Travel Award (GSITA): COMMENTS: Approved Not Approved Director or Delegate August 2014 Page 2 Date